We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Aspects épidémiologiques, diagnostiques et thérapeutiques des traumatismes thoraciques par armes à feu à l’hôpital du Mali : à propos de 26 cas.
- Authors
S., Illiassou; M. A., Ouattara; S., Togo; I. B., Maiga; A. A., Maiga; O., Allaye; B, Kané; M. A. C., Cissé; N., Diani; L., Kanté; S., Yéna; K. H., Yangni-Angaté
- Abstract
Thoracic firearm injuries are severe. The current security context in Sahel motivated our work.Our objective was to evaluate the management of thoracic firearm injuries. It was an observational, prospective and descriptive study over 18 months (January 2018-June 2019) at the Mali hospital. All patients victims of thoracic firearm injuries and managed at the Mali hospital were included. Patients victims of chest injury by mixed weapons or by firearms associated with a road traffic accident were excluded. The data collected included epidemiological, clinical and therapeutic parameters. Twenty six patients were included, representing 42.62% of firearm thoracic trauma with a sex a ratio of 3.33. The mean age was 27.3 years ranging from 11 to 45 years. Patients were civilians (85%) and military (15%). Patients were referred in 89.5% of cases. The circumstance of trauma was an assault in 85% of cases. Penetrating injunes accounted for 54%. Ninety two per cent of patients were stable on admission. Thoracic CT scan was done in the trauma assessment in 54% of patients. The lesions found were chest wall wounds (100%), pleural effusions (92.3%), contusions (31%), rib fractures (23%), vertebral fractures (4%) and pulmonary hernia (4%). Care surgical management consisted of chest drainage in 92%, toileting in 23%, and thoracotomy in 12% of patients, including 2 cases of projectile extraction and decortication. Antibiotherapy and respiratory physiotherapy were performed in 100% and 88% of patients, respectively. The outcome 3 months later was favorable in 92% of cases. We had one case of pleuritis, one case of paraplegia and one death. The average length of hospital stay was 6 days. The early and adequate management of thoracic firearm injuries can significantly reduce their mortality.
- Subjects
MALI; SAHEL; RIB fractures; VERTEBRAL fractures; LENGTH of stay in hospitals; COMPUTED tomography; BLUNT trauma; PLEURAL effusions; TRAFFIC accidents
- Publication
Revue Africaine de Chirurgie et Spécialités, 2022, Vol 16, Issue 1, p12
- ISSN
1997-3756
- Publication type
Article